Request an Appointment

This is primarily suitable for holiday travel, or simple business trips. If you need a work-related medical assessment or clearance of any sort, please do not use this form, but contact corporate.medical@traveldoctor.com.au or call your nearest capital city clinic.

Your Details

Email *

First Name *

Last Name *

Date of Birth *

Format: dd/mm/yyyy

Phone Number *

How many people would you like to arrange an appointment for?

Does this include Children under 12?

YesNo

Destinations

Please include all destinations

Departure Date

Length of travel in days

Are you an existing client of The Travel Doctor?

YesNo

Reason for trip

Appointment Details

Please note: Presently not all Travel Doctor-TMVC clinics accept on-line booking requests. Clinics offering this service can be selected from the list below.